LTC 115-2023 Fire Department receives perfect score on State of Florida Department of Health Emergency Medical Services InspectionM IAM I BEACH
OFFICE OF THE CITY MANAGER
NO. LTC# LETTER TO COMMISSION
TO:
FROM:
DATE:
Mayor Dan Gelber and Members of the City Commission
Alina T. Hudak, City Mana~
March 07, 2023
SUBJECT: Fire Department receives perfect score on State of Florida Department of
Health Emergency Medical Services inspection
The purpose of this Letter to Commission (L TC) is to update you of the Fire Department's
most recent results of their Florida Department of Health Emergency Medical Services
(EMS) inspection.
On February 02, 2023 the Florida Department of Health conducted their bi-annual
inspection and as indicated in the attached inspection report, our Fire Department
received zero deficiencies in all areas and as a result a "perfect score." These results
reflect the highest level of compliance and readiness in delivering emergency medical
services to our community.
The Fire Department delivers emergency medical services as part of its service delivery
model and holds an Advanced Life Support Service License in compliance with Florida
Administrative Code 64J. Periodic inspections conducted by the Florida Department of
Health are a requirement of Florida Statute 401.31 and are performed at minimum every
two years and at random. These inspections ensure compliance with State regulations
and test crew knowledge of equipment and medical protocols. They evaluate the
effectiveness of the Fire Department's quality assurance program, adherence to federal
and state regulations regarding the storage and dispensing of controlled substances, and
standing orders for medical treatment. They inspect the administrative EMS personnel
files to ensure adequate medical training is taking place and individual certifications are
valid. Also, emergency response vehicles are inspected to ensure they meet regulated
safety standards and all emergency equipment is in good working order.
I would like to thank the dedicated men and women of our Fire Department who strive and
deliver excellence in all areas.
Should you have any questions, please contact Fire Chief Virgil Fernandez.
Thank you.
AHNF
115-2023
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts. ~onaJ
HEALTH
Ron Desantis
Governor
Joseph A. Ladapo, M.D., Ph.D.
State Surgeon General
Vision: To be the Healthiest State in the Nation
Date: February 3, 2023
Miami Beach Fire Rescue Dept. -#1314
2300 Pinetree Drive
Miami Beach, Florida 33140
Dear Chief Fernandez,
Congratulations on your outstanding Compliance Monitoring site survey conducted on February 02,
2023 by the Bureau of Emergency Medical Services. Your vehicles and service records were
outstanding, and we found no deficiencies during our visit. Thank you for being a role model of
excellence as an EMS provider in the state of Florida.
Also, please extend my sincere gratitude to your staff for their assistance and overall contribution to
your service and the community. Your continued support of emergency medical services is deeply
appreciated.
Enclosed is a post-site survey evaluation form designed to assist us in continually improving our
Compliance Monitoring program. Please complete the enclosed form and return it to my office at your
earliest convenience
Again, thank you for your assistance in the Compliance Monitoring program and I look forward to
hearing from you.
Sincerely,
Smas p~enwda
Thomas DiBemardo
Region 7
Bureau of Emergency Medical Oversight
CC: Ty Carhart
Enclosure
ALS/BLS Inspection
Records and Facilities/Records Supplemental
Inspection Narrative
Florida Department of Health
Division of Emergency Preparedness and Community Support
Bureau of Emergency Medical Oversight
4052 Bald Cypress Way, Bin A-22 • Tallahassee, FL 32399-1722
PHONE: 850/245-444 0 • FAX. 850/921-0377
FloridaHealth.gov
■Accredited Health Department
Pu blic Health Accreditation Board
S T A T E O F F L O R ID A
D E P A R T M E N T O F H E A L T H · E M E R G E N C Y M E DI C A L S E R V IC E S
In s p e c tio n N a rra tiv e (S e c tio n 4 0 1 .3 1, F .S .)
F1onaf HEALTH
Service Name:
County: Miami-Dade
Page_1_of _1_
Miami Beach #1314 Date: 02/02/2023
Comments (Use additional sheet if necessary)
Records and Facilities:
All items accounted for in a binder in order of the check list. All records comply and present in an exceptional manner. All
necessary policies and procedures were presented. Please thank Division Chief Linares and EMS Coordinator Frosceno for
providing an outstanding manual for site review.
Records Supplemental:
All personnel records and training are in order and updated. All training meets and or exceeds minimum required.
BLS Inspection:
All equipment items in compliance. Please thank the crew of R2 and R22 crews for their participation. Reviewed pediatric
safe transport device.
ALS Inspection:
Reviewed ALS medications and reviewed controlled substance administration and restock procedure.
Chief Linares, Captain Schwartz, Sal Frosceno EMS Coordinator, thank you for the site visit and bringing the team together
for a discussion on data/data quality and EMS performance review. I look forward to working with the QA team to enhance
their Biospatial experience.
Site reviewer: Thomas DiBemardo
STATE OF FLORIDA
DEPARTMENT OF HEALTH · EMERGENCY MEDICAL SERVICES
ADVANCED LIFE SUPPORT VE HICLE INSPECTION RE PORT (SECTION 401.31, F.S.)
Service Name: Miami Beach Fire Rescue Inspection Date: February 02, 2023 Unit No. R2 and R22
Inspection Codes: Rating Categories: ± 1 = Item meets inspection criteria. I Lifesaving equipment, medical supplies, drugs, records or procedures
1 a = Item corrected during inspection to meet criteria. 2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria. 3 = Minimal support equipment, medical supplies, records or procedures
ALS EQUIPMENT AND MEDICATIONS
MEDICATIONS WT/VOL QTY MEDICAL EQUIPMENT (Cont.)
1. Atropine I n. Intraosseous needles 15 or 16 gauge and three way stop- I Sulfate cocks. As allowed bv medical director.
2. Dextrose, 50 I o. Syringes from 1 ml. To 20 ml. I percent
3. Epinephrine 1: 1,000 1 mg/ml p. DC battery powered portable monitor defibrillator capable
HCL I of delivering energy below 25 watts/sec with adult and I pediatric paddles (or pediatric paddle adapters) and EKG
printout and spare battery.
4. Epinephrine 1: 10,000 1 mg/l0cc I q. Adult and pediatric monitoring electrodes. I HCL
5. Ventricular I r. Pacing electrodes, if monitor or defibrillator requires. I dysrhythmic
6. Benzodiazepine s. Glucometer approved by the Medical Director
sedative/anticonvu I
lsant
7. Naloxone 1 mg/ml 2 mg amp. I t. Approved sharps container per Chapter 64J-E, F.A.C I (Narcan)
8. Nitroglvcerin 0.4 mg Spray or tablet I u. Flexible suction catheters I
9. Inhalant beta Nebulizer apparatus v. Electronic waveform capnography capable of real-time
adrenergic agent approved by the I monitoring and printing record of the intubated patient I
Medical Director
w. Pediatric length-based measurement tape for equipment I selection and drug dosage
IV SOLUTIONS MINIMUM AMOUNTS
MINIMUM OTY
1. Lactated In any combination Other ALS Requirements
Ringers or Normal I
Saline
Medical Eauipment 1. Standing orders- authorized by current medical director within last 24 months I
a. Laryngoscope handle with batteries I 2. Controlled substances stored in a locked drug compartment. I
b. Laryngoscope blades, adult, child and I 3. Controlled substance written vehicle log: 1 infant sizes
c. Pediatric IV arm board or splint I A. inventory conducted at beginning and end of shift. I appropriate for IV stabilization
d. Disposable endotracheal tubes; adult, B. Log consecutively, permanently numbered pages.
child and infant sizes (Two each within the I I ranges 2.5mm- 5.0mm shall be uncufTed;
] range 5. mm- 7.0mm; 7.5mm- 9.0mm)
e. Pediatric and adult endotracheal tube I C. Log on each vehicle specifies: I stvlets.
f. Pediatric and adult Magill forceps. I 1. Vehicle unit or number· I
g. Device for intratracheal meconium I 2. Name of employee conducting inventory; I suctioning in newboms
h. Tourniquets I 3. Date and time of inventory; I
i. IV cannulae between 14 and 24 gauge I 4. Name, weight, volume or quantity and expiration date of each controlled I substance;
i. Micro drip sets I 5. Run report no. (if administered); I
k. Macro drip sets I 6. Each amount administered or disposed; I
1. IV pressure infuser I 7. Printed name and signature of administering Paramedic or other I authorized licensed professional.
m. Needles between 18 and 25 gauge I 8. Printed name and signature of person witnessing the disposal of each I unused portion.
Comments:
All items in compliance.
Reviewed Controlled Substance Counts and logs.
Compliance Officer: Thomas DiBernardo
STATE OF FLORIDA
DEPARTMENT OF HEALTH· EMERGENCY MEDICAL SERVICES
BASIC LIFE SUPPORT VEHICLE INSPECTION REPORT (SECTION 401.31, F.S.)
Service Name: Miami Beach Fire Rescue Inspection Date: February 02, 2023 County: Miami Dade Type of Inspection: Scheduled
Vehicle Information: Unit# R2 and R22 Year/Make: Horton Permit Type: ALS Permit# 23080 and 231 129
VIN ++KY84 and **7385 Tag# XE403 I and XI0279
Inspection Codes: Rating Categories:
H I = Item meets inspection criteria. I = Lifesaving equipment, medical supplies, drugs, records or procedures
I a = Item corrected during inspection to meet criteria. 2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria 3 = Minimal support equipment, medical supplies, records or procedures
Name EMT/PARA/D RIVER CERTIFICATE NUMBER Crew credentials: Section 401.27(1) III Gonzalex, R PMD 293979 And 401.281, F.S.
Perez, D PMD 52456 [Minimum Staffing = One EMT and One Driver
Cooly, K PMD 533334
I. VEHICLE REQUIREMENTS (Sections 316 and 401, F.S., Chapter 64J-1, F.A.C. and d. Roller gauze I KKK-A-1822
I. Exhaust System I e. ABD (minimum 5x9 inch) pads I
2. Exterior Lights: I 2. One pair of Bandage Shears I
A. Head lights (high and low beam) I 3. One set each, patient restraints- wrist and ankle I
B. Turn signals I 4. One each blood pressure cuffs: infant, pediatric, and adult. I
C. Brake Lights I 5. One stethoscope: pediatric and adult I
D. Tail Lights I 6. Blankets I
E. Back-up lights and audible warning device I 7. Sheets. (not required on non-transport vehicles) I
3. Hom I 8. Pillows with waterproof covers and pillowcases or disposable single use pillows. (Not required on non- I ransoort vehicles.)
4. Windshield wipers I . One disposable blanket or patient rain cover. I
5. Tires I 10. One long spine board and three straps or equivalent. I
6. Vehicle free of rust and dents I 11. One short spine board and two straps or equivalent. I
7. Two-way radio communication - radio test 12. One each adult and pediatric cervical immobilization device (CID), approved by the medical director
I of the service. This approval must be in writing and made available by the provider for the department to I
eview.
A. Hospital (cab and patient compartment) I 13. Set of padding for lateral lower spine immobilization of pediatric patients or equivalent. I
B. Dispatch Center I 14. Two portable oxygen tanks, "D" or "E" cylinders, with one regulator and gauge Each tank must have I a minimum oressure of 1000 osi.
C. Other EMS units I 15. Each transparent oxygen masks; adult, child and infant sizes, with tubing I
8. Emergency Lights I 16. Set of pediatric and adult nasal cannulae with tubing. I
9. Siren I 17. One each hand operated bag-valve mask resuscitators, adult and pediatric accumulator, including I adult child and infant transoarent masks caoable of use with supplemental oxvgen.
IO. Two ABC fire extinguishers fully charged and inspected in brackets. Minimum I 18. One portable suction, electric or gas powered, with wide bore tubing and tips, which meet the I 15 lbs each. minimum standards as oublished bv the GSA in KK.K-A-1822 soecifications.
11. Doors open properly, close securely. I 19, Assorted sizes of extremity immobilization devices. I
12. Rear and side view mirrors. I 20. One lower extremity traction splint. (Pediatric and Adult) I
13. Windows and windshield I 21. One sterile obstetrical kit to include, at minimum, bulb syringe, sterile scissors or scalpel and cord I clamps or cord-ties.
II. TRANSPORT VEHICLE REQUIREMENTS (Section 401, F.S., and Chapter 64J-1, 22. Burn sheets. I F.A.C. and KKK-A-1822).
I. Primary stretcher and three straps. I 23. One flashlight with batteries. I
2. Auxiliary stretcher and two straps. I 24. Occlusive dressings. I
3. Two ceiling mounted IV holders. I 25. Assorted sizes of oropharyngeal airways. Pediatric and Adult I
4. Two no-smoking signs. 26 One installed oxygen with regulator gauge and wrench, mimimum "M" size cylinder (Other installed
I oxygen delivery systems, such as liquid oxygen, as allowed by medical director. This approval must be in I
vriting and available to the department for review.)
5. Overhead grab rail. I 7. Sufficient quantity of gloves- suitable to provide bani er protection from biohazards for all crew
1embers. I
6. Squad bench and three sets of seat belts. I
7. Interior lights. I 28. Sufficient quantity of each for all crewmembers - Face Masks - both surgical and respiratory
8. Exterior floodlights. I protective. I
9. Loading lights. I
10. Heat and air conditioning with fan. I 29. Assorted pediatric and adult sizes rigid cervical collars as approved in writing by the medical director I and available for review bv the deoartment.
11. Word-"Ambulance"- sides, back and mirror image front. I 0. Nasopharyngeal airways, French or mm equivalents (infant, pediatric, and adult) I
II. MEDICAL EQUIPMENT FOR TESTING (Chapter 64J-1, F.A.C., and KKK -A- B1. One approved biohazardous waste plastic bag or impervious container per Chapter 64J-E, F.A.C. I 1822) B3la. Pediatric length based measurement device for equipment selection and drug dosage
I. Installed suction. (Transport only) I
Items 14, 18 and 26 in section IV must be tested. NIA B32. One per crewmember, safety goggles or equivalent meeting A.N.S.1.Z87.1 standard. I
~V. MEDICAL SUPPLIES AND EQUIPMENT (Chapter 64J-1, F.A.C., GSA KKK-A- B3. Bulb syringe separate from obstetrical kit. I 1822)
1. Bandaging, dressing and taping supplies: I 34. Thermal absorbent reflective blanket. I
a. Rolls adhesive, silk or plastic tape. I 35. Multi-trauma dressings. I r· Sterile gauze pads, any size I GENERAL SANITATION (Section 401.262Xe), F.S.
I. Vehicle and Contents X Satisfactory DJ Unsatisfactory
c. Triangular bandages I
Comments:
All items in compliance.
Reviewed controlled substance tracking.
Reviewed pediatric transport.
Thomas DiBernardo
STATE OF FLORIDA L::.J DEPARTMENT OF HEALTH· EMERGENCY MEDICAL SERVICES
SERVICE RECORDS AND FACILITIES INSPECTION REPORT (SECTION 401.31, F.S.) Ur d
Service Name: Miami Beach Fire Rescue Inspection Date: February 02, 2023 HELIr
County: Miami Dade Type of Inspection: Scheduled
License Type: ALS Transport Date of Last Inspection: 6/21/2017 License Expiration Date: April 2023
Inspection Codes: Rating Categories:
I = Item meets inspection criteria. I = Lifesaving equipment, medical supplies, drugs, records or procedures IIIIIIII]
I a= Item corrected during inspection to meet criteria. 2 = Intermediate support equipment, medical supplies, drugs, records or procedures Es
2 = Items not in compliance with inspection criteria. 3 = Minimal support equipment, medical supplies, records or procedures D
I. ADMINISTRATIVE AND RECORDS STORAGE (Chapter 64J-1, F.A.C.)
1. Records storage and security. I
2. Records storage for S years. I 4. Items are stored in a climate controlled (i.e. - heated and air conditioned) location. I
II. RECORDS (Section 401, F.S., Chapter 64J-1, F.A.C) 5. The area is clean and sanitary. I
1. Current service license on display. (Chapter 64J-1, F.A.C) I 8. Observe if the following requirements for controlled substances are being met:
2. Vehicle/Aircraft Records (Chapter 64J-1, F.A.C.) To Include: 1. The requirements listed in items 105 above are being met. I
A. Registration. I 2. Medical director has registered storage areas with DEA (Chapter 64J-1, F.A.C.) I
8. Verification of vehicle permit. I C. Written operating procedures for the storage and handling of fluids and medications specify the
following:
3. Previous Inspection Forms, (Chapter 64J-1, F.A.C.) I 1. Security procedures. I
4. Personnel Records for each EMT, paramedic (Chapter 6EJ-1, F.A.C.) 2. Items stored in a climate-controlled location (i.e. - Heated and air conditioned) I To Include:
A. Date of employment. I 3. Deteriorated or expired items stored in a quarantine area, separate from usable items. I
B. Record of training. I 4. Inventory procedures. I
C. Current professional certification. I D. Written operating procedures for the storage and handling of controlled substances specify the
following:
D. Documentation of completion of the 1988 D.O.T. Air Medical Crew 1. Storage procedures.
National Standard Curriculum-Advanced, for Paramedic Crew members NIA I
(Chapter 64J-1 F.A.C.)
5. Ambulance driver record (for each per Section 401.281(1), F.S.) 2. The positions that have access to controlled substances. I To include: Statements attesting to A.B.C.
A. 18 years old. I 3, Shift change inventory procedures for vehicles. I
B. Not addicted to alcohol or controlled substances. I 4. Procedures to be used for the documentation of use, disposal of excess and resupply of I vehicles with controlled substances.
C. Free from physical or mental defect or disease that would impair I 5. Procedures used for inventory discrepancies. I ability to drive.
D. Driving record verification. I F. Verify that the following occurs with regard in controlled substances:
E. Possess valid class p or chauffeur license. I 1. Storage records are maintained on file at the location where he controlled substances arc I stored.
F. Is trained in safe operation of emergency vehicle - 16 hours E.V.O.C. I 2. All required inventories and records are maintained at least two years. I
G. Possesses a valid American Red Cross First Aid and Personal N/A 3. Records are maintained separately from other records. I Safety card or its equivalent.
H. Possesses a valid American Red Cross or American Heart 8. Equipment substitutions when authorization by medical director (Chapter 64J-1, F.A.C.)
Association CPR or ACLS card. I I
NOTE: Current EMT or paramedic certification is evidence of compliance with 9. Biomedical Waste operating procedures (Section 381.80, F.S. and Chapters 64J-1, F.A.C.) to
items A, B, C and G above. (Section 401.27(4) F.S.) include:
6. Medical Director (Section 64J-1, F.A.C.) A. Proper handling I
A. Qualifications: Current ACLS certification or board certification (Chapter I B. Proper storage I 64J-l F.A.C.)
B. Duties and responsibilities (Chapter 64J-1, F.A.C.) C. Proper disposal I
1. Write/review operating procedures for patient care. I 10. EMS providers disaster plan integrates both local and regional disaster plan (Chapter 64J-1, I F.A.C.)
2. Written quality assurance program operating procedures that require the I 11. Adult and pediatric CID approval in writing by medical director (Chapter 64J-1, F.A.C.) I following:
a. Prompt review of run reports. I If an EMS provider maintains an air ambulance license or has permitted aircraft, the following
record reouirements that aoolv (Section 401.251 F.S. and Chapter 64J-1, F.A.C.)
b. Direct observation of personnel. I A. Emergency protocol for overdue aircraft, when radio communications cannot be established, NI or when aircraft cannot be located.
3, Documentation of implementation of #2 above. I B. Rotary Wing air ambulances shall document every 15 minutes of the flight while enroute to NA and from oatient's location. 64J-1.005(3)
4. Documented of participation in direct contract time with EMS Field Level I C. Safety committee to include:
Providers for a minimum of 10 hours per vear.
1. Membership of one pilot, on flight medical crew member, medical director, EQ NI representative and one hospital administrator (if hospital based).
7. Inventory, storage and security procedures for medications, fluids and controlled 2. Written safety procedures. NI substances (Sections 499, 893. F.S.. and Chapters 64J-1. F.A.C.)
A. Observe if the following requirements for medications and fluids are being met: I 3, Meetings held quarterly to review safety policies, procedures, unusual occurrences, safety NI issues, and audit compliance with safety policies and procedures.
1. Storage area is secured by a locking mechanism. I 4. Safety audit results communicated to all program personnel. NI
2. All items are inventoried at least monthly. I 5. Minutes of meetings recorded and retained on file for 2 years. NI
3. Deteriorated or expired items are stored in a quarantine area, separate from I usable items.
Comments:
All items in compliance. Presented in an organized fashion. Exceptional manual presentation.
Compliance Officer: Thomas DiBernardo
STATE OF FLORIDA
DEPARTMENT OF HEAL TH·EMERGENCY MEDICAL SERVICES
Personnel Records (Section 401.31, F.5.)
Service Name: Miami Beach Fire Rescue Inspection Date: Feb. 2, 2023 Total Number of Personnel: 2 14 Number of Files Reviewed: 20
Inspector Name: Thomas DiBernardo
Name of Personnel Date of Record EMT/Para. CPRIACLS Driving Valid EVOC Statement for Driver Only
Employment of Cert. Type Cert. Type Record D.L. Training Alcohol Phys. Or 18 Training and Exp. and Exp Date Verified Yes/No Yes/No Date First Aid or
Yes/No Date (Drivers Only) Yes/No Exp. Or Mental YOA Personal Safety
Date Date Drug Yes/No Yes/No Card Yes/No
Yes/No Exp. Date
1. Abay, Jesus 3/19/07 Yes 521254 5/2024 NIA 10/31/24 5/2/07 Yes Yes Yes NIA
2. Baez, Bryan 12/17/07 Yes 513678 8/2024 NIA 3/3/28 1/31/08 Yes Yes Yes NIA
3. Bell, Darryl 7/19/99 Yes 201910 9/2023 NIA 10/11/27 10/18/99 Yes Yes Yes NIA
4. Bowman, Trevor 416115 Yes 522416 512023 NIA 4/19131 5/19/15 Yes Yes Yes NIA
5. Brown, Cory 3119107 Yes 521528 3/2024 NIA 5131/27 4/4/04 Yes Yes Yes NIA
6. Bugay, Jason 2/22/11 Yes 530035 4/2024 NIA 5/2/28 4/1/11 Yes Yes Yes NIA
7. Burns, Ryan 1/23/17 Yes 541927 812023 NIA 11/25/30 3/9/17 Yes Yes Yes NIA
8. Hanna, Oliver 2122/10 Yes 516806 5/2024 NIA 8/2/26 3/11/11 Yes Yes Yes NIA
9. Hargis, Daniel 3/12/12 Yes 525262 4/2023 NIA 5/9/27 4/24/12 Yes Yes Yes NIA
10. Horta, Megan 1/23/17 Yes 527306 3/2023 NIA 12/20/30 3/9/17 Yes Yes Yes NIA
11. Hume, Ryan 314119 Yes 537815 412023 NIA 715/30 4/19119 Yes Yes Yes NIA
12. Keit, Joseph 2/22/11 Yes 519527 10/2023 NIA 7/24/29 6/12/09 Yes Yes Yes NIA
13. Lang, Carlos 12/17/08 Yes 513206 8/2024 NIA 7/28/30 2/8/08 Yes Yes Yes NIA
14. Lima, Oscar 3/5/01 Yes 506964 7/2024 NIA 11/1/26 4/13/01 Yes Yes Yes NIA
15. Lopez, Alan 1/31/05 Yes 512078 8/2024 NIA 1 /9/31 11/19/03 Yes Yes Yes NIA
16. Riley, Lori 5/15/00 Yes 507588 7/2024 NIA 9122125 6/21/00 Yes Yes Yes NIA
17. Rose, Marlon 1/23/17 Yes 521379 3/2023 NIA 1126/26 3/9/17 Yes Yes Yes NIA
18. Sica, Michael 2/6/06 Yes 513566 812024 NIA 3/21128 4124112 Yes Yes Yes NIA
19. Sola, David 3/12112 Yes 517094 3/2023 NIA 12/11124 4/24/12 Yes Yes Yes NIA
20. Speers, Kerri 913113 Yes 527927 412023 NIA 11/2/27 10/15/13 Yes Yes Yes NIA
21.
22.